Active NPI
Med-Star Ambulance LLC
- Land Ambulance
- Franklin, TN
National Provider Identifier
1396042479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MED-STAR AMBULANCE LLC
- Practice address
- 1155 Hillsboro Rd
Franklin, TN 37069-4612 - Phone
- (615) 714-7518
- NPI assigned
- Feb 25, 2011
- Last updated
- Feb 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard D Waters
- Title
- President
- Phone
- (615) 714-7518
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1155 Hillsboro Rd
Franklin, TN 37069-4612
Mailing address
PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298592000000",
"number": "1396042479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641880",
"city": "OMAHA",
"state": "NE",
"postal_code": "681647880",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 HILLSBORO RD",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370694612",
"telephone_number": "615-714-7518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-STAR AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A",
"authorized_official_last_name": "WATERS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-714-7518"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.